Inspection Reports for Sage Glendale
525 W Elk Ave, Glendale, CA 91204, United States, CA, 91204
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated, indicating generally good compliance. The most recent report from July 18, 2025, found a deficiency related to two staff members working without proper criminal background clearance, resulting in a citation and civil penalty. Earlier inspections showed the facility was clean, well-maintained, and compliant with safety and health regulations, including infection control and medication management. Some isolated issues arose, such as a water temperature violation in March 2022 and an unsubstantiated medication overdose complaint in April 2024. The overall trend suggests the facility has maintained standards well, with the recent citation being a notable exception rather than part of a pattern.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 78
Capacity: 113
Deficiencies: 1
Jul 18, 2025
Visit Reason
The visit was an initial complaint investigation triggered by complaint #31-AS-20250714121426 regarding staff presence without criminal background clearance and association to the facility.
Findings
The investigation found two staff members (S1 and S2) present without proper criminal background clearance and association to the facility. Staff S1 was not returning to the facility, while S2 was cleared and associated during the visit. A citation and civil penalty were issued.
Complaint Details
Complaint investigation was initiated based on complaint #31-AS-20250714121426. The complaint was substantiated by the finding that staff were present without criminal background clearance and association to the facility.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working in a licensed facility request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidenced by staff S1 and S2 not having criminal background clearance and association to this facility. | Type A |
Report Facts
Census: 78
Total Capacity: 113
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle L. Connot | Entrim Executive Director of sister community in Nebraska | Staff S1 found present without criminal background clearance and association |
| Dawn Irene Monahan | Staff S2 found initially without clearance but cleared during visit | |
| Syrina Canez | Memory Care Director | Facility representative who received copy of report |
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Naira Margaryan | Licensing Program Manager | Named in report header and deficiency section |
Inspection Report
Annual Inspection
Census: 75
Capacity: 113
Deficiencies: 0
Mar 25, 2025
Visit Reason
The visit was an unannounced case management Annual Continuation inspection conducted to complete the required 1-year inspection initiated on 2025-02-10.
Findings
The Licensing Program Analyst toured the facility to ensure no health and safety hazards were present, reviewed seven resident records and five staff files, all of which were complete and compliant at the time of the visit. Several active COVID-19 cases were noted in the facility.
Report Facts
Residents' records reviewed: 7
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peter Bonilla | Executive Director | Met during inspection and discussed visit purpose |
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Census: 81
Capacity: 113
Deficiencies: 0
Feb 10, 2025
Visit Reason
The case management visit was conducted to ensure the safety and welfare of evacuees from the RCFE-Continuing Care Retirement Community Montecedro due to the Eaton Fire.
Findings
No immediate health or safety hazards were observed during the visit. Interviews with four out of five evacuee residents indicated they are doing well and that Sage Glendale is meeting their needs while Montecedro is providing the service.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peter Bonilla | Executive Director | Met with Licensing Program Analyst during the visit. |
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 81
Capacity: 113
Deficiencies: 0
Feb 10, 2025
Visit Reason
An unannounced required one-year inspection visit was conducted to evaluate compliance with Title 22 regulations and ensure health and safety standards at the facility.
Findings
The facility was found to be in good repair with no health and safety hazards noted. Physical plant areas, kitchen, dining, medication storage, resident bedrooms, bathrooms, common areas, and surrounding grounds were all observed to be clean, functional, and compliant. Fire safety equipment was current and functional. The inspection was not fully completed due to time constraints and will be continued later.
Report Facts
Fire extinguisher last inspection date: Apr 25, 2024
Fire drill last conducted: Jan 8, 2025
Residents interviewed: 8
Hot water temperature range (Fahrenheit): 106.3-119.3
Perishable food supply duration (days): 2
Non-perishable food supply duration (days): 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the inspection and met with Executive Director |
| Peter Bonilla | Executive Director | Met with Licensing Program Analyst during inspection |
| Naira Margaryan | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Census: 69
Capacity: 113
Deficiencies: 0
Jul 3, 2024
Visit Reason
An unannounced 1 year required inspection visit was conducted to evaluate compliance with licensing regulations for the Sage Glendale Senior Living Facility.
Findings
The facility was found to be operating within capacity limits with no health and safety issues noted. Fire safety equipment was operational and up to date, resident rooms were properly furnished, and medication storage was secure. Passageways were free of obstructions and environmental conditions met regulatory standards.
Report Facts
Capacity: 113
Census: 69
First aid kits: 8
Fire extinguisher service date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Smith | Administrator | Met with Licensing Program Analyst during inspection |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the inspection visit |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 113
Deficiencies: 0
Apr 26, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate an allegation that the facility took payment but did not admit a resident.
Findings
The investigation found that the resident's family member paid over $9,000 for admission but decided not to move the resident to the facility. The allegation was deemed unsubstantiated as the facility was about to refund the payment, but the refund was not issued due to a bounced check.
Complaint Details
The complaint alleged that the facility took payment but did not admit the resident. The allegation was found unsubstantiated after investigation.
Report Facts
Payment amount: 9250
Capacity: 113
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Angela Monette-Smith | Executive Director | Met with Licensing Program Analyst during investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Follow-Up
Census: 63
Capacity: 113
Deficiencies: 0
Apr 8, 2024
Visit Reason
An unannounced Case Management Incident visit was conducted to follow-up on an incident report submitted regarding Resident #1 who allegedly overdosed on prescribed medication.
Findings
The investigation revealed that Resident #1 is still hospitalized and awaiting discharge orders. Records showed the resident is depressed and approved to self-administer medication. Hospital blood work was unremarkable and it appears the resident did not ingest the reported medication. No health and safety issues were noted.
Complaint Details
The visit was triggered by a complaint incident report submitted on 04/04/2024 regarding an alleged medication overdose by Resident #1. The report was unsubstantiated as the resident did not ingest the medication.
Report Facts
Facility capacity: 113
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Lou Dominguez | LVN | Met with Licensing Program Analyst during inspection and provided information about Resident #1 |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the unannounced Case Management Incident visit |
| Naira Margaryan | Licensing Program Manager | Named in the exit interview section of the report |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 113
Deficiencies: 0
Feb 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2023-01-17 alleging that staff did not prevent a resident from being sexually abused while in care.
Findings
The investigation included interviews with staff, residents, and witnesses, as well as a review of records and observations. No preponderance of evidence was found to substantiate the allegation of sexual abuse, and the allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that a resident was touched inappropriately by a male staff member. Interviews with staff, residents, and witnesses did not confirm the allegation. The resident involved denied any abuse. The allegation was unsubstantiated due to lack of sufficient evidence.
Report Facts
Staff interviewed: 7
Staff unavailable for interview: 2
Witnesses interviewed: 2
Residents interviewed: 5
Residents unavailable for interview: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Agard | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Angela Smith | Met with the Licensing Program Analyst during the investigation. | |
| Angela J Kendrick | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 113
Deficiencies: 0
Feb 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2022-05-26 regarding resident care issues including emergency buttons not working, unwitnessed falls, residents left unattended, insufficient food, non-functioning motion detectors, staffing shortages, and staff neglect.
Findings
The investigation included interviews with staff and residents, observations, and record reviews. All allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included emergency buttons not working, unwitnessed falls, residents left unattended, insufficient food, motion detectors not working, inadequate staffing, and staff neglect. Interviews with 6 staff and 5 residents, observations, and record reviews did not corroborate the allegations. No incident reports or evidence supported the claims.
Report Facts
Staff interviewed: 6
Residents interviewed: 5
Memory care unit residents: 17
Caregiving staff: 3
Med tech staff: 1
Caregiving staff observed: 4
Med tech staff observed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Angela Monette-Smith | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 35
Capacity: 113
Deficiencies: 1
Mar 15, 2022
Visit Reason
The inspection was an unannounced required 1-year visit focusing on COVID-19 Infection Control Practices at Sage Glendale Senior Living Facility.
Findings
The inspection found that COVID-19 signage and infection control measures were generally in place, but water temperature in the first floor restrooms was below the required range, posing an immediate health and safety risk. Deficiencies were cited related to water temperature regulation.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Water temperature in the 1st floor restroom sinks measured 74 degrees F, which is below the required minimum of 105 degrees F, posing an immediate health, safety, or personal rights risk to persons in care. | Type A |
Report Facts
Deficiency due date: Mar 25, 2022
Census: 35
Total Capacity: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Whittington | Administrator | Administrator present during inspection and exit interview |
| Alberto Lopez | Licensing Program Analyst | Conducted the inspection |
| Christine Yee | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Capacity: 113
Deficiencies: 0
Mar 4, 2021
Visit Reason
The inspection was conducted as a pre-licensing visit for initial licensing of a Residential Care Facility for the Elderly.
Findings
The facility was found to be clean, sanitary, and in good repair with no observed items of noncompliance with applicable laws and regulations. Safety features such as fire extinguishers, smoke detectors, and carbon monoxide detectors were operational, and emergency plans and supplies were in place.
Report Facts
Capacity: 113
Census: 0
Hospice waiver: 2
Non-ambulatory residents: 113
Bedridden residents: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Whittington | Executive Director | Met with during inspection |
| Kruz Long | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Fernando Fierros | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Capacity: 113
Deficiencies: 0
Dec 14, 2020
Visit Reason
Initial licensing evaluation visit for a Residential Care Facility for the Elderly with delayed egress application type.
Findings
The applicant and administrator participated in a comprehensive licensing interview (COMP II) confirming understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements. The evaluation was successfully completed with no deficiencies noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Berard | Administrator | Applicant and administrator who participated in the licensing evaluation and COMP II call. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation. |
| Bethany Hunter | Licensing Program Analyst | Conducted the COMP II call and signed the evaluation report. |
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